Wellspace Health
Wellspace Health was paid $28.23M by Medicaid between Oct 2018 and Aug 2024, across 124 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
SACRAMENTO, CA 95821
Next to other Case Manager/Care Coordinator providers in California
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,914 | $150K | |
| 2019 | 79,308 | $2.76M | |
| 2020 | 112,903 | $3.49M | |
| 2021 | 196,996 | $4.05M | |
| 2022 | 248,930 | $6.16M | |
| 2023 | 284,990 | $8.45M | |
| 2024incomplete | 94,155 | $3.18M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 209,965 | 186,837 | $28.05M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 3,406 | 2,593 | $64K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 10,234 | 7,098 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 85,740 | 80,134 | $21K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,899 | 1,749 | $18K |
| H0043 | Supported housing, per diem | <1% | 30 | 29 | $10K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 10,338 | 9,483 | $9K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 318 | 276 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17,898 | 16,533 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 595 | 576 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 6,445 | 6,349 | $2K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 129 | 90 | $1K |
112 more codes
| 99381 | <1% | 747 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,776 | $419.63 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,057 | $372.79 |
| 90677 | <1% | 280 | $333.24 | |
| 80305 | <1% | 1,012 | $257.96 | |
| 90697 | <1% | 1,018 | $181.93 | |
| 90686 | <1% | 4,666 | $108.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 724 | $102.90 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,920 | $87.70 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 791 | $54.83 |
| 90633 | <1% | 2,489 | $45.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,339 | $39.64 |
| 90461 | <1% | 3,570 | $21.43 | |
| 83655 | <1% | 14 | $21.04 | |
| 90716 | <1% | 1,167 | $18.00 | |
| 90700 | <1% | 887 | $18.00 | |
| 90681 | <1% | 31 | $4.12 | |
| 85018 | <1% | 56 | $4.10 | |
| 86580 | <1% | 267 | $3.53 | |
| 99383 | 0% | 219 | $0.00 | |
| 3008F | 0% | 83,619 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 4,784 | $0.00 |
| 3074F | 0% | 59,309 | $0.00 | |
| 3079F | 0% | 19,936 | $0.00 | |
| 2001F | 0% | 83,616 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 75,898 | $0.00 |
| 3080F | 0% | 3,617 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 4,654 | $0.00 |
| 90723 | 0% | 1,494 | $0.00 | |
| 1036F | 0% | 53,803 | $0.00 | |
| 3048F | 0% | 12,447 | $0.00 | |
| 3049F | 0% | 6,615 | $0.00 | |
| Z6410 | 0% | 3,951 | $0.00 | |
| Z1032 | 0% | 1,061 | $0.00 | |
| 81001 | 0% | 2,734 | $0.00 | |
| 90647 | 0% | 1,535 | $0.00 | |
| 3075F | 0% | 8,869 | $0.00 | |
| 90680 | 0% | 1,278 | $0.00 | |
| 99000 | 0% | 1,350 | $0.00 | |
| Z6204 | 0% | 448 | $0.00 | |
| 90674 | 0% | 286 | $0.00 | |
| Z6406 | 0% | 463 | $0.00 | |
| Z1034 | 0% | 10,013 | $0.00 | |
| 90651 | 0% | 543 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 301 | $0.00 |
| 90688 | 0% | 398 | $0.00 | |
| 92551 | 0% | 2,648 | $0.00 | |
| 0500F | 0% | 724 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 77 | $0.00 |
| 90696 | 0% | 221 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 700 | $0.00 |
| 3044F | 0% | 277 | $0.00 | |
| 1034F | 0% | 985 | $0.00 | |
| 90620 | 0% | 13 | $0.00 | |
| 0503F | 0% | 53 | $0.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 0% | 300 | $0.00 |
| 3052F | 0% | 17 | $0.00 | |
| 20610 | 0% | 22 | $0.00 | |
| 99384 | 0% | 40 | $0.00 | |
| 91301 | 0% | 79 | $0.00 | |
| 0011A | 0% | 45 | $0.00 | |
| 11055 | 0% | 13 | $0.00 | |
| 90744 | 0% | 68 | $0.00 | |
| 91307 | 0% | 13 | $0.00 | |
| 99441 | 0% | 15 | $0.00 | |
| Z1038 | 0% | 70 | $0.00 | |
| 90474 | 0% | 42 | $0.00 | |
| 1111F | 0% | 85 | $0.00 | |
| 0012A | 0% | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 70,548 | $0.00 |
| 3077F | 0% | 10,086 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 2,108 | $0.00 |
| 3078F | 0% | 54,774 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 10,285 | $0.00 |
| 0502F | 0% | 8,103 | $0.00 | |
| 3050F | 0% | 3,957 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 662 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 6,779 | $0.00 |
| 82948 | 0% | 308 | $0.00 | |
| Z6500 | 0% | 1,511 | $0.00 | |
| Z6300 | 0% | 405 | $0.00 | |
| 90670 | 0% | 3,113 | $0.00 | |
| 99382 | 0% | 50 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 1,232 | $0.00 |
| 99173 | 0% | 2,644 | $0.00 | |
| 81025 | 0% | 2,206 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 3,716 | $0.00 |
| 90734 | 0% | 266 | $0.00 | |
| 90707 | 0% | 668 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 363 | $0.00 |
| Z6400 | 0% | 1,504 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 307 | $0.00 |
| Z6308 | 0% | 70 | $0.00 | |
| 99201 | 0% | 22 | $0.00 | |
| 90715 | 0% | 296 | $0.00 | |
| 90713 | 0% | 491 | $0.00 | |
| Z6304 | 0% | 459 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 159 | $0.00 |
| 90710 | 0% | 383 | $0.00 | |
| 90685 | 0% | 331 | $0.00 | |
| 3046F | 0% | 179 | $0.00 | |
| 0071A | 0% | 40 | $0.00 | |
| G0466 | Community health center visit, new patient | 0% | 49 | $0.00 |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 0% | 83 | $0.00 |
| Z6208 | 0% | 80 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 201 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 13 | $0.00 |
| 11721 | 0% | 102 | $0.00 | |
| 90648 | 0% | 36 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 11719 | 0% | 15 | $0.00 | |
| 90714 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Wellspace Health | Sacramento, CA | $76.86M |
| Wellspace Health | Sacramento, CA | $64.16M |
| Wellspace Health | Galt, CA | $42.54M |
| Wellspace Health | Sacramento, CA | $18.86M |
| Wellspace Health | Sacramento, CA | $14.61M |
| Wellspace Health | Sacramento, CA | $13.57M |
| Wellspace Health | North Highlands, CA | $7.20M |
| Wellspace Health | Sacramento, CA | $5.34M |
| Wellspace Health | Citrus Heights, CA | $5.07M |
| Wellspace Health | Sacramento, CA | $3.67M |
| Wellspace Health | Roseville, CA | $3.03M |
| Wellspace Health | Martell, CA | $2.95M |
| Wellspace Health | Sacramento, CA | $1.02M |
| Wellspace Health | Citrus Heights, CA | $647K |
| Wellspace Health | Sacramento, CA | $318K |
| Wellspace Health | Sacramento, CA | $29K |
| Wellspace Health | Sacramento, CA | $20K |
| Wellspace Health | Sacramento, CA | $10K |
| Wellspace Health | Sacramento, CA | $3K |
| Wellspace Health | Sacramento, CA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.